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H.L.C.
.....................................................................
(Original Signature of Member)
111TH CONGRESS
1ST SESSION
H. R.ll
To provide affordable, quality health care for all Americans and reduce
the growth in health care spending, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES

Mr. DINGELL (for himself, Mr. RANGEL, Mr. WAXMAN, Mr. GEORGE MILLER of California, Mr. STARK, Mr. PALLONE, and Mr. ANDREWS) introduced the following bill; which was referred to the Committee on

lllllllllllllll
A BILL

To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.

Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE; TABLE OF DIVISIONS, TITLES,
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AND SUBTITLES.
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(a) SHORTTITLE.\u2014This Act may be cited as the
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\u2018\u2018America\u2019s Affordable Health Choices Act of 2009\u2019\u2019.
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(b) TABLE OFDIVISIONS, TITLES, ANDSUB-
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TITLES.\u2014This Act is divided into divisions, titles, and
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subtitles as follows:
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DIVISION A\u2014AFFORDABLE HEALTH CARE CHOICES
TITLE I\u2014PROTECTIONS AND STANDARDS FOR QUALIFIED

HEALTH BENEFITS PLANS
Subtitle A\u2014General Standards
Subtitle B\u2014Standards Guaranteeing Access to Affordable Coverage
Subtitle C\u2014Standards Guaranteeing Access to Essential Benefits
Subtitle D\u2014Additional Consumer Protections
Subtitle E\u2014Governance
Subtitle F\u2014Relation to Other Requirements; Miscellaneous
Subtitle G\u2014Early Investments
TITLE II\u2014HEALTH INSURANCE EXCHANGE AND RELATED

PROVISIONS

Subtitle A\u2014Health Insurance Exchange
Subtitle B\u2014Public Health Insurance Option
Subtitle C\u2014Individual Affordability Credits
TITLE III\u2014SHARED RESPONSIBILITY
Subtitle A\u2014Individual Responsibility
Subtitle B\u2014Employer Responsibility
TITLE IV\u2014AMENDMENTS TO INTERNAL REVENUE CODE OF 1986
Subtitle A\u2014Shared Responsibility
Subtitle B\u2014Credit for Small Business Employee Health Coverage Expenses
Subtitle C\u2014Disclosures to Carry Out Health Insurance Exchange Subsidies
Subtitle D\u2014Other Revenue Provisions
DIVISION B\u2014MEDICARE AND MEDICAID IMPROVEMENTS
TITLE I\u2014IMPROVING HEALTH CARE VALUE
Subtitle A\u2014Provisions Related to Medicare Part A
Subtitle B\u2014Provisions Related to Part B
Subtitle C\u2014Provisions Related to Medicare Parts A and B

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Subtitle D\u2014Medicare Advantage Reforms
Subtitle E\u2014Improvements to Medicare Part D
Subtitle F\u2014Medicare Rural Access Protections
TITLE II\u2014MEDICARE BENEFICIARY IMPROVEMENTS
Subtitle A\u2014Improving and Simplifying Financial Assistance for Low Income

Medicare Beneficiaries
Subtitle B\u2014Reducing Health Disparities
Subtitle C\u2014Miscellaneous Improvements
TITLE III\u2014PROMOTING PRIMARY CARE, MENTAL HEALTH

SERVICES, AND COORDINATED CARE
TITLE IV\u2014QUALITY
Subtitle A\u2014Comparative Effectiveness Research
Subtitle B\u2014Nursing Home Transparency
Subtitle C\u2014Quality Measurements
Subtitle D\u2014Physician Payments Sunshine Provision
Subtitle E\u2014Public Reporting on Health Care-Associated Infections
TITLE V\u2014MEDICARE GRADUATE MEDICAL EDUCATION
TITLE VI\u2014PROGRAM INTEGRITY
Subtitle A\u2014Increased Funding to Fight Waste, Fraud, and Abuse
Subtitle B\u2014Enhanced Penalties for Fraud and Abuse
Subtitle C\u2014Enhanced Program and Provider Protections
Subtitle D\u2014Access to Information Needed to Prevent Fraud, Waste, and

Abuse

TITLE VII\u2014MEDICAID AND CHIP
Subtitle A\u2014Medicaid and Health Reform
Subtitle B\u2014Prevention
Subtitle C\u2014Access
Subtitle D\u2014Coverage
Subtitle E\u2014Financing
Subtitle F\u2014Waste, Fraud, and Abuse
Subtitle G\u2014Puerto Rico and the Territories
Subtitle H\u2014Miscellaneous

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